Exploring UK foundation doctors’ perceptions surrounding raising concerns in the workplace

Talash, Khojasta and Corfield, Lorraine and Latcham, Natalie and Lavelle, Claire and Williams, Richard and Machin, Laura (2020) Exploring UK foundation doctors’ perceptions surrounding raising concerns in the workplace. Journal of Vocational Education and Training. ISSN 1363-6820

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Abstract

This study aims to explore the perceptions of foundation doctors (FDs) in the United Kingdom (UK) surrounding raising concerns in the workplace. An online survey was sent to all FDs in the UK between February and March 2018. Respondents were asked what they had observed or experienced that had been ethically challenging during their foundation training. The qualitative responses were coded into themes. Reasons why FDs wished to raise concerns in the workplace included disagreements about clinical decisions within the team, insufficient availability of resources, lack of senior colleague support and having to work beyond their competencies. Challenges faced by FDs when raising concerns included organisational resistance to change, difficulties in communicating ideas to those higher up in the hierarchy and the emotional stress of whistleblowing regarding senior colleagues. Perceived consequences of raising concerns included negative impact on FDs’ reputation and career, and fear of bullying. To overcome these barriers, changes within organisations at all levels must take place in order to provide an environment where FDs are encouraged to raise concerns and thus make positive changes to their work environments for themselves, their colleagues and patients.

Item Type:
Journal Article
Journal or Publication Title:
Journal of Vocational Education and Training
Additional Information:
This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Vocational Education & Training on 7 July 2020, available online: https://www.tandfonline.com/doi/full/10.1080/13636820.2020.1792535
Uncontrolled Keywords:
/dk/atira/pure/subjectarea/asjc/3300/3304
Subjects:
ID Code:
145160
Deposited By:
Deposited On:
07 Jul 2020 14:05
Refereed?:
Yes
Published?:
Published
Last Modified:
25 Sep 2020 04:55